Author Question: The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine ... (Read 35 times)

aabwk4 · **on:** Jun 27, 2018

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine if the fetus has

a. Hemophilia
b. A neural tube defect
c. Sickle cell anemia
d. A normal lecithin/sphingomyelin (L/S) ratio

Question 2

A woman is hospitalized with severe pre-eclampsia. The nurse is meal-planning with the client. The nurse should encourage a diet that is high in:

1. Sodium.
2. Carbohydrates.
3. Protein.
4. Fruits.

JYan · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A Hemophilia is a genetic defect and is best detected with chromosomal studies
such as chorionic villus sampling or amniocentesis.
B An open neural tube allows a high level of AFP to seep into the amniotic fluid
and enter the maternal serum.
C Sickle cell is a genetic defect and is best detected with chromosomal studies such
as chorionic villus sampling or amniocentesis.
D L/S ratios are determined with an amniocentesis and is usually done in the third
trimester.

Answer to Question 2

3
Rationale:
1. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.
2. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.
3. The client who experiences pre-eclampsia is losing protein.
4. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.